Changes in nutritional care after implementing national guidelines-a 10-year follow-up study
Siv Hilde Fjeldstad1, Lene Thoresen2, Morten Mowé3,4
1Department of Clinical Nutrition, University hospital of North-Norway, Sykehusveien 38, Tromsø, 9019, Norway. siv.hilde.fjeldstad@gmail.com.
European Journal of Clinical Nutrition
|January 12, 2018
Summary
Nutritional care practices improved over a decade, yet knowledge gaps and responsibility issues persist as barriers for healthcare professionals. Patient non-compliance also hinders nutrition therapy.
Area of Science:
- Clinical Nutrition
- Healthcare Practice
- Medical Education
Background:
- A 2004 Scandinavian survey revealed inadequate nutrition knowledge among healthcare professionals.
- Significant disparities in nutritional practice were noted, prompting national guideline development.
Purpose of the Study:
- To assess changes in nutritional practice and identify barriers to nutrition therapy 10 years after the initial survey.
- To evaluate the evolution of nutrition care in Scandinavian hospitals.
Main Methods:
- A 2014 survey replicated the 2004 questionnaire, distributed to 4000 doctors and nurses.
- The survey assessed nutritional practice, knowledge, barriers, and the utilization of clinical dietitians (CDs).
Main Results:
- Nutritional practice routines significantly improved between 2004 and 2014.
- While knowledge increased, lack of knowledge and responsibility assignment remained key barriers.
- Patient non-compliance emerged as a barrier to enteral nutrition; better routines correlated with improved dietitian collaboration.
Conclusions:
- Clinical nutrition routines have shown improvement over the decade.
- Persistent barriers include healthcare worker knowledge deficits and unclear responsibility.
- Patient-related factors, such as non-compliance, and professional collaboration with clinical dietitians influence nutrition therapy outcomes.
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